Perception of pregnant individuals, health providers and decision makers on interventions to cease substance consumption during pregnancy: a qualitative study
Abstract Background Despite multiple recommendations and strategies implemented at a national and international level, cigarette smoking, alcohol consumption, and cannabis use during pregnancy remains high in most countries. The objective of this study was to examine key stakeholders’ perception of...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-024-18397-x |
| _version_ | 1797208983225761792 |
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| author | Andrea Vila-Farinas Mónica Pérez-Ríos Agustín Montes-Martínez Jasjit S- Ahluwalia Nerea Mourino Julia Rey-Brandariz Yolanda Triñanes-Pego Cristina Candal-Pedreira Alberto Ruano-Ravina Patricia Gómez-Salgado Carmen Miguez-Varela María Tajes-Alonso Isabel Loureiro-Fuentes Juan Riesgo-Martín Araceli Valverde-Trillo Isabel Fernández-Lema Mercedes Rey-Arijón Isabel Freiría-Somoza María Rodríguez-Pampín Leonor Varela-Lema |
| author_facet | Andrea Vila-Farinas Mónica Pérez-Ríos Agustín Montes-Martínez Jasjit S- Ahluwalia Nerea Mourino Julia Rey-Brandariz Yolanda Triñanes-Pego Cristina Candal-Pedreira Alberto Ruano-Ravina Patricia Gómez-Salgado Carmen Miguez-Varela María Tajes-Alonso Isabel Loureiro-Fuentes Juan Riesgo-Martín Araceli Valverde-Trillo Isabel Fernández-Lema Mercedes Rey-Arijón Isabel Freiría-Somoza María Rodríguez-Pampín Leonor Varela-Lema |
| author_sort | Andrea Vila-Farinas |
| collection | DOAJ |
| description | Abstract Background Despite multiple recommendations and strategies implemented at a national and international level, cigarette smoking, alcohol consumption, and cannabis use during pregnancy remains high in most countries. The objective of this study was to examine key stakeholders’ perception of the treatment interventions adopted in Spain, to identify political, organizational and personal factors associated with successful implementation, and to propose strategies for improvement. Methods A qualitative study with a phenomenological approach was conducted in 2022. The target groups were: (1) clinical decision makers in the field of addiction science, (2) health professionals who carry out treatment interventions, and (3) pregnant individuals who use tobacco, alcohol or cannabis. Two focus groups and eight in-depth interviews were conducted, recorded, and transcribed. Exploratory analysis and inductive open coding was performed, codes were merged into categories, and subcategories were identified. Results The analysis resulted in 10 subcategories which were further merged into three main categories: (1) Degree of adoption and utility of treatment interventions implemented; (2) Needs and demands with respect to the organization of treatment interventions; and, (3) Personal barriers to and facilitators for treatment. Respondents reported that despite multiple national and regional cessation initiatives, treatment interventions were rarely adopted in clinical practice. Health care administrators demanded reliable records to quantify substance use for better planning of activities. Health care professionals advocated for additional time and training and both echoed the importance of integrating cessation interventions into routine prenatal care and creating in-house specialized units. The difficulty in quitting, lack of awareness of risk for foetus and child and the controversial advice were identified as barriers by pregnant individuals. Conclusions Consistent with previous work, this study found that cessation strategies implemented by the health authorities are not effective if they are not accompanied by organizational and behavioral changes. The current study identifies a set of factors that could be pivotal in ensuring the success of treatment interventions targeting tobacco, alcohol and cannabis use among pregnant individuals. |
| first_indexed | 2024-04-24T09:47:28Z |
| format | Article |
| id | doaj.art-37e2867ee78347f1b77d4b1f36421188 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-24T09:47:28Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-37e2867ee78347f1b77d4b1f364211882024-04-14T11:31:33ZengBMCBMC Public Health1471-24582024-04-0124111010.1186/s12889-024-18397-xPerception of pregnant individuals, health providers and decision makers on interventions to cease substance consumption during pregnancy: a qualitative studyAndrea Vila-Farinas0Mónica Pérez-Ríos1Agustín Montes-Martínez2Jasjit S- Ahluwalia3Nerea Mourino4Julia Rey-Brandariz5Yolanda Triñanes-Pego6Cristina Candal-Pedreira7Alberto Ruano-Ravina8Patricia Gómez-Salgado9Carmen Miguez-Varela10María Tajes-Alonso11Isabel Loureiro-Fuentes12Juan Riesgo-Martín13Araceli Valverde-Trillo14Isabel Fernández-Lema15Mercedes Rey-Arijón16Isabel Freiría-Somoza17María Rodríguez-Pampín18Leonor Varela-Lema19Department of Preventive Medicine and Public Health, University of Santiago de CompostelaDepartment of Preventive Medicine and Public Health, University of Santiago de CompostelaDepartment of Preventive Medicine and Public Health, University of Santiago de CompostelaDepartament of Behavioral and Social Sciences, Brown University School of Public HealthDepartment of Preventive Medicine and Public Health, University of Santiago de CompostelaDepartment of Preventive Medicine and Public Health, University of Santiago de CompostelaScientific-technical Assessment Unit [Avalia-t]. Galician Health Knowledge Management Agency, Agencia Gallega de Conocimiento en Salud/ACISDepartment of Preventive Medicine and Public Health, University of Santiago de CompostelaDepartment of Preventive Medicine and Public Health, University of Santiago de CompostelaScientific-technical Assessment Unit [Avalia-t]. Galician Health Knowledge Management Agency, Agencia Gallega de Conocimiento en Salud/ACISDepartment of Clinical Psychology and Psychobiology, University of Santiago de CompostelaMental Health Department, Regional Health Authority, Galician Regional Authority [Xunta de Galicia]Ordes Health Center, Galician Health Service [Servicio Galego de Saúde/SERGAS]Catalonian Health Institute, Institut Català de la Salut/ICSDepartment of Health, Catalonian Public Health Agency, Catalonian Regional Authority [Generalitat de Cataluña]Ribeira Health Center, Galician Health ServiceSantiago de Compostela University Clinical Teaching Hospital, Galician Health ServiceSantiago de Compostela University Clinical Teaching Hospital, Galician Health ServiceSantiago de Compostela University Clinical Teaching Hospital, Galician Health ServiceDepartment of Preventive Medicine and Public Health, University of Santiago de CompostelaAbstract Background Despite multiple recommendations and strategies implemented at a national and international level, cigarette smoking, alcohol consumption, and cannabis use during pregnancy remains high in most countries. The objective of this study was to examine key stakeholders’ perception of the treatment interventions adopted in Spain, to identify political, organizational and personal factors associated with successful implementation, and to propose strategies for improvement. Methods A qualitative study with a phenomenological approach was conducted in 2022. The target groups were: (1) clinical decision makers in the field of addiction science, (2) health professionals who carry out treatment interventions, and (3) pregnant individuals who use tobacco, alcohol or cannabis. Two focus groups and eight in-depth interviews were conducted, recorded, and transcribed. Exploratory analysis and inductive open coding was performed, codes were merged into categories, and subcategories were identified. Results The analysis resulted in 10 subcategories which were further merged into three main categories: (1) Degree of adoption and utility of treatment interventions implemented; (2) Needs and demands with respect to the organization of treatment interventions; and, (3) Personal barriers to and facilitators for treatment. Respondents reported that despite multiple national and regional cessation initiatives, treatment interventions were rarely adopted in clinical practice. Health care administrators demanded reliable records to quantify substance use for better planning of activities. Health care professionals advocated for additional time and training and both echoed the importance of integrating cessation interventions into routine prenatal care and creating in-house specialized units. The difficulty in quitting, lack of awareness of risk for foetus and child and the controversial advice were identified as barriers by pregnant individuals. Conclusions Consistent with previous work, this study found that cessation strategies implemented by the health authorities are not effective if they are not accompanied by organizational and behavioral changes. The current study identifies a set of factors that could be pivotal in ensuring the success of treatment interventions targeting tobacco, alcohol and cannabis use among pregnant individuals.https://doi.org/10.1186/s12889-024-18397-xPregnant individualsSmoking cessationAlcohol consumptionCannabisQualitative research |
| spellingShingle | Andrea Vila-Farinas Mónica Pérez-Ríos Agustín Montes-Martínez Jasjit S- Ahluwalia Nerea Mourino Julia Rey-Brandariz Yolanda Triñanes-Pego Cristina Candal-Pedreira Alberto Ruano-Ravina Patricia Gómez-Salgado Carmen Miguez-Varela María Tajes-Alonso Isabel Loureiro-Fuentes Juan Riesgo-Martín Araceli Valverde-Trillo Isabel Fernández-Lema Mercedes Rey-Arijón Isabel Freiría-Somoza María Rodríguez-Pampín Leonor Varela-Lema Perception of pregnant individuals, health providers and decision makers on interventions to cease substance consumption during pregnancy: a qualitative study BMC Public Health Pregnant individuals Smoking cessation Alcohol consumption Cannabis Qualitative research |
| title | Perception of pregnant individuals, health providers and decision makers on interventions to cease substance consumption during pregnancy: a qualitative study |
| title_full | Perception of pregnant individuals, health providers and decision makers on interventions to cease substance consumption during pregnancy: a qualitative study |
| title_fullStr | Perception of pregnant individuals, health providers and decision makers on interventions to cease substance consumption during pregnancy: a qualitative study |
| title_full_unstemmed | Perception of pregnant individuals, health providers and decision makers on interventions to cease substance consumption during pregnancy: a qualitative study |
| title_short | Perception of pregnant individuals, health providers and decision makers on interventions to cease substance consumption during pregnancy: a qualitative study |
| title_sort | perception of pregnant individuals health providers and decision makers on interventions to cease substance consumption during pregnancy a qualitative study |
| topic | Pregnant individuals Smoking cessation Alcohol consumption Cannabis Qualitative research |
| url | https://doi.org/10.1186/s12889-024-18397-x |
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